scholarly journals Malaria outbreak in Riaba district, Bioko Island, in 2019 – Lessons learnt

2020 ◽  
Author(s):  
Carlos A Guerra ◽  
Godwin Fuseini ◽  
Oliver Tresor Donfack ◽  
Jordan M Smith ◽  
Teresa Ayingono Ondo Mifumu ◽  
...  
Keyword(s):  
Vector Control ◽  
Malaria Incidence ◽  
Indoor Residual Spraying ◽  
Parasite Prevalence ◽  
National Guidelines ◽  
Breeding Sites ◽  
Bioko Island ◽  
Malaria Indicator Survey ◽  
Biting Rate

Abstract A sudden surge in malaria cases was observed in the district of Riaba, Bioko Island, at the start of 2019. Between January and April, confirmed malaria cases and malaria incidence increased about three-fold compared to the same period in 2018. Concurrently, anopheline human biting rate (HBR) increased 2.1-fold. During the outbreak, 82.2% of the district population was tested for malaria with a rapid diagnostic test and 37.2% were found positive and treated according to national guidelines. Vector control interventions, including indoor residual spraying and larval source management were scaled-up in response. After the interventions, the number of confirmed cases decreased by 70% and the overall parasite prevalence in the communities by 43.8%. Observed prevalence in a follow up malaria indicator survey, however, was significantly higher than elsewhere on the island and higher than in previous years. There was no significant reduction in HBR, which remained high for the rest of the year. The surge was attributed to various factors, chiefly increased rainfall and a large number of anthropogenic anopheline breeding sites created by construction works. This case study illustrates the need for sustained vector control interventions and multi-sector participation, particularly in malaria control settings with persistently high receptivity to local transmission.

scholarly journals Malaria outbreak in Riaba district, Bioko Island, in 2019 – Lessons learnt

2020 ◽  
Author(s):  
Carlos A Guerra ◽  
Godwin Fuseini ◽  
Oliver Tresor Donfack ◽  
Jordan M Smith ◽  
Teresa Ayingono Ondo Mifumu ◽  
...  
Keyword(s):  
Vector Control ◽  
Indoor Residual Spraying ◽  
Parasite Prevalence ◽  
National Guidelines ◽  
Breeding Sites ◽  
Bioko Island ◽  
Malaria Indicator Survey ◽  
Biting Rate

Abstract At the beginning of 2019, a sudden surge of malaria cases was observed in the district of Riaba, Bioko Island. Between January and April, confirmed malaria cases increased 3.8-fold compared to the same period in 2018. Concurrently, anopheline human biting rate (HBR) increased 2.1-fold. During the outbreak, 82.2% of the district population was tested for malaria with a rapid diagnostic test; 37.2% of those tested had a detectable infection and were treated according to national guidelines. Vector control interventions, including indoor residual spraying and larval source management were scaled-up. After the interventions, the number of confirmed cases decreased by 70% and the overall parasite prevalence in the communities by 43.8%. Observed prevalence in a follow up malaria indicator survey, however, was significantly higher than elsewhere on the island and higher than in previous years. There was no significant reduction in HBR, which remained high for the rest of the year. The surge was attributed to various factors, chiefly increased rainfall and a large number of anthropogenic anopheline breeding sites created by construction works. This case study highlights the need for sustained vector control interventions and multi-sector participation, particularly in malaria control and elimination settings with persistently high local malaria receptivity.

scholarly journals Malaria outbreak in Riaba district, Bioko Island – Lessons learned

2020 ◽  
Author(s):  
Carlos A Guerra ◽  
Godwin Fuseini ◽  
Oliver Tresor Donfack ◽  
Jordan M Smith ◽  
Teresa Ayingono Ondo Mifumu ◽  
...  
Keyword(s):  
Vector Control ◽  
Indoor Residual Spraying ◽  
Parasite Prevalence ◽  
Lessons Learned ◽  
National Guidelines ◽  
Breeding Sites ◽  
Bioko Island ◽  
Malaria Indicator Survey ◽  
Biting Rate

Abstract At the beginning of 2019, a sudden surge of malaria cases was observed in the district of Riaba, Bioko Island. Between January and April, confirmed malaria cases increased 3.8-fold compared to the same period in 2018. Concurrently, anopheline human biting rate (HBR) increased 2.1-fold. During the outbreak, 82.2% of the district population was tested for malaria with a rapid diagnostic test; 37.2% of those tested had a detectable infection and were treated according to national guidelines. Vector control interventions, including indoor residual spraying and larval source management were scaled-up. After the interventions, the number of confirmed cases decreased by 70% and the overall parasite prevalence in the communities by 43.8%. Observed prevalence in a follow up malaria indicator survey, however, was significantly higher than elsewhere on the island, and higher than in previous years. There was no significant reduction in HBR, which remained high for the rest of the year. The surge was attributed to various factors, chiefly increased rainfall and a large number of anthropogenic anopheline breeding sites created by construction works. This case study highlights the need for sustained vector control interventions and multi-sector participation, particularly in malaria control and elimination settings with persistently high local malaria receptivity.

scholarly journals Evaluating the Efficacy, Impact and Feasibility of Community-based House Screening as a Complementary Malaria Control Intervention in Southern Africa: a Study Protocol for a Household Randomized Trial.

2021 ◽  
Author(s):  
Peter Onyango Sangoro ◽  
Ulrike Fillinger ◽  
Kochelani Saili ◽  
Theresia Estomih Nkya ◽  
Rose Marubu ◽  
...  
Keyword(s):  
Vector Control ◽  
Malaria Transmission ◽  
Malaria Control ◽  
Malaria Incidence ◽  
Indoor Residual Spraying ◽  
Clinical Malaria ◽  
Sub Saharan Africa ◽  
Substantial Impact ◽  
Transmission Season ◽  
The Impact

Abstract Background: Concerted effort to control malaria has had a substantial impact on transmission of the disease in the past two decades. In areas where reduced malaria transmission is being sustained through insecticide-based vector control interventions, primarily long-lasting insecticidal nets (LLINs) and indoor residual spraying (IRS), non-insecticidal complementary tools will likely be needed to push towards malaria elimination. Once interruption in local disease transmission is achieved, insecticide-based measures can be scaled down gradually and eventually phased out, saving on costs of sustaining control programmes and mitigating any unintended negative health and environmental impacts posed by insecticides. These non-insecticidal methods could eventually replace insecticidal methods of vector control. House screening, a non-insecticidal method, has a long history in malaria control, but is still not widely adopted in sub-Saharan Africa. This study aims to add to the evidence-base for this intervention in low transmission settings by assessing the efficacy, impact and feasibility of house screening in areas where LLINs are conventionally used for malaria control. Methods: A two-armed, household randomized clinical trial will be conducted in Mozambique, Zambia and Zimbabwe to evaluate whether combined use of house screens and LLINs affords better protection against clinical malaria in children between 6 months and 13 years compared to the sole use of LLINs. Eight hundred households will be enrolled in each study area, where 400 households will be randomly assigned the intervention, house screening and LLINs while the control households will be provided with LLINs only. Clinical malaria incidence will be estimated by actively following up one child from each household for 6 months over the malaria transmission season. Cross-sectional parasite prevalence will be estimated by testing all participating children for malaria parasites at the beginning and end of each transmission season using rapid diagnostic tests.CDC light traps and pyrethrum spray catches (PSC) will be used to sample adult mosquitoes and evaluate the impact of house screening on indoor mosquito density, species distribution and sporozoite rates.Discussion: This study will contribute epidemiological data on the impact of house screening on malaria transmission and assess the feasibility of its implementation on a programmatic scale. Trial registration: This trial was retrospectively registered on 11th August 2020. Registration number PACTR202008524310568.

scholarly journals Rapid selection of a pyrethroid metabolic enzyme CYP9K1 by operational malaria control activities

2018 ◽  
Vol 115 (18) ◽  
pp. 4619-4624 ◽  
Author(s):  
John Vontas ◽  
Linda Grigoraki ◽  
John Morgan ◽  
Dimitra Tsakireli ◽  
Godwin Fuseini ◽  
...  
Keyword(s):  
Malaria Control ◽  
Pyrethroid Resistance ◽  
Resistance Mechanism ◽  
Indoor Residual Spraying ◽  
Control Program ◽  
Parasite Prevalence ◽  
Metabolic Enzyme ◽  
Anopheles Coluzzii ◽  
Bioko Island ◽  
Malaria Control Program

Since 2004, indoor residual spraying (IRS) and long-lasting insecticide-impregnated bednets (LLINs) have reduced the malaria parasite prevalence in children on Bioko Island, Equatorial Guinea, from 45% to 12%. After target site-based (knockdown resistance; kdr) pyrethroid resistance was detected in 2004 in Anopheles coluzzii (formerly known as the M form of the Anopheles gambiae complex), the carbamate bendiocarb was introduced. Subsequent analysis showed that kdr alone was not operationally significant, so pyrethroid-based IRS was successfully reintroduced in 2012. In 2007 and 2014–2015, mass distribution of new pyrethroid LLINs was undertaken to increase the net coverage levels. The combined selection pressure of IRS and LLINs resulted in an increase in the frequency of pyrethroid resistance in 2015. In addition to a significant increase in kdr frequency, an additional metabolic pyrethroid resistance mechanism had been selected. Increased metabolism of the pyrethroid deltamethrin was linked with up-regulation of the cytochrome P450 CYP9K1. The increase in resistance prompted a reversion to bendiocarb IRS in 2016 to avoid a resurgence of malaria, in line with the national Malaria Control Program plan.

scholarly journals Effects of indoor residual spraying and outdoor larval control on Anopheles coluzzii from São Tomé and Príncipe, two islands with pre-eliminated malaria

2019 ◽  
Vol 18 (1) ◽  
Author(s):  
Ying-An Chen ◽  
Jih-Ching Lien ◽  
Lien-Fen Tseng ◽  
Chien-Fu Cheng ◽  
Wan-Yu Lin ◽  
...  
Keyword(s):  
Vector Control ◽  
Incidence Rate ◽  
Malaria Incidence ◽  
Control Strategies ◽  
Resistance Mutation ◽  
Indoor Residual Spraying ◽  
Anopheles Coluzzii ◽  
Knockdown Resistance ◽  
Larval Control ◽  
Sao Tome And Principe

Abstract Background Vector control is a key component of malaria prevention. Two major vector control strategies have been implemented in São Tomé and Príncipe (STP), indoor residual spraying (IRS) and outdoor larval control using Bacillus thuringiensis israelensis (Bti). This study evaluated post-intervention effects of control strategies on vector population density, composition, and knockdown resistance mutation, and their implications for malaria epidemiology in STP. Methods Mosquitoes were collected by indoor and outdoor human landing catches and mosquito light traps in seven districts. Mosquito density was calculated by numbers of captured adult mosquitoes/house/working hour. Mitochondrial cytochrome c oxidase subunit I (COI) was PCR amplified and sequenced to understand the spatial–temporal population composition of malaria vector in STP. Knockdown resistance L1014F mutation was detected using allele-specific PCR. To estimate the malaria transmission risks in STP, a negative binomial regression model was constructed. The response variable was monthly incidence, and the explanatory variables were area, rainfall, entomological inoculation rate (EIR), and kdr mutation frequency. Results Malaria vector in STP is exophilic Anopheles coluzzii with significant population differentiation between Príncipe and São Tomé (mean FST = 0.16, p < 0.001). Both vector genetic diversity and knockdown resistance mutation were relatively low in Príncipe (mean of kdr frequency = 15.82%) compared to São Tomé (mean of kdr frequency = 44.77%). Annual malaria incidence rate in STP had been rapidly controlled from 37 to 2.1% by three rounds of country-wide IRS from 2004 to 2007. Long-term application of Bti since 2007 kept the mosquito density under 10 mosquitoes/house/hr/month, and malaria incidence rate under 5% after 2008, except for a rising that occurred in 2012 (incidence rate = 6.9%). Risk factors of area (São Tomé compared to Príncipe), rainfall, outdoor EIR, and kdr mutation frequency could significantly increase malaria incidence by 9.33–11.50, 1.25, 1.07, and 1.06 fold, respectively. Conclusions Indoor residual spraying could rapidly decrease Anopheles density and malaria incidence in STP. Outdoor larval control using Bti is a sustainable approach for controlling local vector with exophilic feature and insecticide resistance problem. Vector control interventions should be intensified especially at the north-eastern part of São Tomé to minimize impacts of outbreaks.

scholarly journals Increased Biting Rate of Insecticide-Resistant Culex Mosquitoes and Community Adherence to IRS for Malaria Control in Urban Malabo, Bioko Island, Equatorial Guinea

2019 ◽  
Vol 56 (4) ◽  
pp. 1071-1077 ◽  
Author(s):  
Godwin Fuseini ◽  
Raul Ncogo Nguema ◽  
Wonder P Phiri ◽  
Olivier Tresor Donfack ◽  
Carlos Cortes ◽  
...  
Keyword(s):  
Insecticide Resistance ◽  
Residual Activity ◽  
Indoor Residual Spraying ◽  
Potential Effect ◽  
Malaria Vectors ◽  
Organophosphate Insecticide ◽  
Bioko Island ◽  
Anopheles Mosquitoes ◽  
Biting Rate ◽  
Community Protection

Abstract Sustaining high levels of indoor residual spraying (IRS) coverage (≥85%) for community protection against malaria remains a challenge for IRS campaigns. We examined biting rates and insecticide resistance in Culex species and Anopheles gambiae s.l., and their potential effect on community adherence to IRS. The average IRS coverage in urban Malabo between 2015 and 2017 remained at 80%. Culex biting rate increased 6.0-fold (P &lt; 0.001) between 2014 and 2017, reaching 8.08 bites per person per night, whereas that of An. gambiae s.l. remained steady at around 0.68. Although An. gambiae s.l. was susceptible to carbamates and organophosphates insecticides, Culex spp. were phenotypically resistant to all four main classes of WHO-recommended IRS insecticides. Similarly, the residual activity of the organophosphate insecticide used since 2017, ACTELLIC 300CS, was 8 mo for An. gambiae s.l., but was almost absent against Culex for 2 mo post-spray. A survey conducted in 2018 within urban Malabo indicated that 77.0% of respondents related IRS as means of protection against mosquito bites, but only 3.2% knew that only Anopheles mosquitoes transmit malaria. Therefore, the increasing biting rates of culicines in urban Malabo, and their resistance to all IRS insecticides, is raising concern that a growing number of people may refuse to participate in IRS as result of its perceived failure in controlling mosquitoes. Although this is not yet the case on Bioko Island, communication strategies need refining to sensitize communities about the effectiveness of IRS in controlling malaria vectors in the midst of insecticide resistance in nonmalaria vector mosquitoes.

scholarly journals Development of a chimeric odour blend for attracting gravid malaria vectors

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Betelehem Wondwosen ◽  
Mengistu Dawit ◽  
Yared Debebe ◽  
Habte Tekie ◽  
Sharon R. Hill ◽  
...  
Keyword(s):  
Vector Control ◽  
Binary Logistic Regression ◽  
Ground Level ◽  
Malaria Vectors ◽  
Volatile Components ◽  
Innovative Strategy ◽  
Breeding Sites ◽  
Logistic Regression Models ◽  
Plant Feeding ◽  
Global Vector

Abstract Background Odour-based tools targeting gravid malaria vectors may complement existing intervention strategies. Anopheles arabiensis are attracted to, and stimulated to oviposit by, natural and synthetic odours of wild and domesticated grasses associated with mosquito breeding sites. While such synthetic odour lures may be used for vector control, these may have limited efficacy when placed in direct competition with the natural source. In this study, workflows developed for plant-feeding pests was used to design and evaluate a chimeric odour blend based on shared attractive compounds found in domesticated grass odours. Methods Variants of a synthetic odour blend, composed of shared bioactive compounds previously identified in domesticated grasses, was evaluated sequentially in a two-choice olfactometer to identify a ratio-optimized attractive blend for malaria vectors. During this process, blends with ratios that were significantly more attractive than the previously identified synthetic rice blend were compared to determine which was most attractive in the two-choice olfactometer. To determine whether all volatile components of the most attractive blend were necessary for maximal attraction, subtractive assays were then conducted, in which individual components were removed for the most attractive blend, to define the final composition of the chimeric blend. Binary logistic regression models were used to determine significance in all two-choice assays. The chimeric blend was then assessed under field conditions in malaria endemic villages in Ethiopia, to assess the effect of dose, trap type, and placement relative to ground level. Field data were analyzed both descriptively and using a Welch-corrected t-test. Results A ratio-optimized chimeric blend was identified that significantly attracted gravid An. arabiensis under laboratory conditions. In the field, trap captures of An. arabiensis and Anopheles pharoensis were dependent on the presence of the lure, trap type (CDC, BG Sentinel and Suna traps), placement relevant to ground level, with low release rates generally luring more mosquitoes. Conclusions The workflow designed for the development of chimeric lures provides an innovative strategy to target odour-mediated behaviours. The chimeric lure identified here can be used in existing trapping systems, and be customized to increase sustainability, in line with goals of the Global Vector Control Response Group.

scholarly journals Impact of seasonality and malaria control interventions on Anopheles density and species composition from three areas of Uganda with differing malaria endemicity

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Henry Ddumba Mawejje ◽  
Maxwell Kilama ◽  
Simon P. Kigozi ◽  
Alex K. Musiime ◽  
Moses Kamya ◽  
...  
Keyword(s):  
Species Composition ◽  
Vector Control ◽  
Malaria Control ◽  
Mosquito Species ◽  
Density Ratio ◽  
Indoor Residual Spraying ◽  
Sub Saharan Africa ◽  
Malaria Vector Control ◽  
Vector Density ◽  
Llin Distribution

Abstract Background Long-lasting insecticidal nets (LLINs) and indoor residual spraying (IRS) are the malaria control interventions primarily responsible for reductions in transmission intensity across sub-Saharan Africa. These interventions, however, may have differential impact on Anopheles species composition and density. This study examined the changing pattern of Anopheles species in three areas of Uganda with markedly different transmission intensities and different levels of vector control. Methods From October 2011 to June 2016 mosquitoes were collected monthly using CDC light traps from 100 randomly selected households in three areas: Walukuba (low transmission), Kihihi (moderate transmission) and Nagongera (high transmission). LLINs were distributed in November 2013 in Walukuba and Nagongera and in June 2014 in Kihihi. IRS was implemented only in Nagongera, with three rounds of bendiocarb delivered between December 2014 and June 2015. Mosquito species were identified morphologically and by PCR (Polymerase Chain Reaction). Results In Walukuba, LLIN distribution was associated with a decline in Anopheles funestus vector density (0.07 vs 0.02 mosquitoes per house per night, density ratio [DR] 0.34, 95% CI: 0.18–0.65, p = 0.001), but not Anopheles gambiae sensu stricto (s.s.) nor Anopheles arabiensis. In Kihihi, over 98% of mosquitoes were An. gambiae s.s. and LLIN distribution was associated with a decline in An. gambiae s.s. vector density (4.00 vs 2.46, DR 0.68, 95% CI: 0.49–0.94, p = 0.02). In Nagongera, the combination of LLINs and multiple rounds of IRS was associated with almost complete elimination of An. gambiae s.s. (28.0 vs 0.17, DR 0.004, 95% CI: 0.002–0.009, p < 0.001), and An. funestus sensu lato (s.l.) (3.90 vs 0.006, DR 0.001, 95% CI: 0.0005–0.004, p < 0.001), with a less pronounced decline in An. arabiensis (9.18 vs 2.00, DR 0.15 95% CI: 0.07–0.33, p < 0.001). Conclusions LLIN distribution was associated with reductions in An. funestus s.l. in the lowest transmission site and An. gambiae s.s. in the moderate transmission site. In the highest transmission site, a combination of LLINs and multiple rounds of IRS was associated with the near collapse of An. gambiae s.s. and An. funestus s.l. Following IRS, An. arabiensis, a behaviourally resilient vector, became the predominant species, which may have implications for malaria vector control activities. Development of interventions targeted at outdoor biting remains a priority.

Sign in / Sign up

Export Citation Format

Share Document